NPI | 1437191889 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00042637) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.084398) |
Enumeration Date | 2006-06-11 |
Last Update Date | 2023-12-08 |