NPI | 1427156165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60600589) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 04-30565) |
207Q00000X Family Medicine (Licence: ID M11053) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2021-06-18 |