NPI | 1417929688 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2024-1018) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME93255) |
Enumeration Date | 2006-02-02 |
Last Update Date | 2024-11-19 |