NPI | 1396182267 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60577167) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML60375676) |
Enumeration Date | 2013-05-31 |
Last Update Date | 2021-02-18 |