NPI | 1437508041 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 85247-20) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2019-0307) |
Enumeration Date | 2016-06-06 |
Last Update Date | 2025-08-07 |