NPI | 1467433177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 0039586) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 4031) |
Enumeration Date | 2005-11-09 |
Last Update Date | 2021-06-07 |