NPI | 1467682351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME153665) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 40429) |
Enumeration Date | 2009-07-26 |
Last Update Date | 2022-07-18 |