NPI | 1447607056 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 62683) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 30248) |
Enumeration Date | 2016-05-24 |
Last Update Date | 2022-06-29 |