NPI | 1396935581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME117713) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D74694) |
207Q00000X Family Medicine (Licence: DC MD040879) | |
Enumeration Date | 2007-07-25 |
Last Update Date | 2021-11-23 |