NPI | 1467959833 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2023-00621) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD474116) |
Enumeration Date | 2018-04-11 |
Last Update Date | 2023-11-08 |