NPI | 1437644564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 331071) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS T-3633) |
Enumeration Date | 2018-07-01 |
Last Update Date | 2024-05-03 |