NPI | 1437670791 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 1962) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV SL1191) |
Enumeration Date | 2017-06-27 |
Last Update Date | 2024-07-23 |