NPI | 1437357316 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 27249) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 30055) |
Enumeration Date | 2007-07-03 |
Last Update Date | 2024-05-01 |