NPI | 1427271592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 55034) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2013-0638) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2023-11-27 |