NPI | 1457626905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 52684) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0065761) |
Enumeration Date | 2012-03-16 |
Last Update Date | 2021-07-21 |