NPI | 1386771814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GU M1699) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101042540) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2019-07-25 |