NPI | 1437507043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME144251) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301109410) |
Enumeration Date | 2016-05-25 |
Last Update Date | 2020-07-01 |