NPI | 1407877038 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME143999) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 057705) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2025-05-05 |