NPI | 1417186586 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 66987) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND 12229) |
Enumeration Date | 2009-07-09 |
Last Update Date | 2024-09-23 |