NPI | 1396768578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2019-01610) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 90754) |
207Q00000X Family Medicine (Licence: NY 273032) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2024-05-09 |