NPI | 1396182648 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301111201) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD459896) |
Enumeration Date | 2013-05-28 |
Last Update Date | 2021-10-07 |