NPI | 1396008231 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 51643) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 60964) |
Enumeration Date | 2012-06-15 |
Last Update Date | 2023-11-27 |