NPI | 1447483821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D73774) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN 14250) |
Enumeration Date | 2009-09-01 |
Last Update Date | 2021-11-22 |