NPI | 1457347304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 11497) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 34384) |
Enumeration Date | 2005-09-26 |
Last Update Date | 2022-10-20 |