NPI | 1467891309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO CDR.0000292) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R74062) |
Enumeration Date | 2013-06-24 |
Last Update Date | 2021-04-06 |