NPI | 1386331684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101028803) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5151016057APP23) |
Enumeration Date | 2023-04-18 |
Last Update Date | 2025-06-24 |