NPI | 1396078663 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 116222) |
Additional Taxonomies | 208D00000X General Practice (Licence: FL 116222) |
Enumeration Date | 2009-09-17 |
Last Update Date | 2019-09-25 |