NPI | 1477111300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO CDR.0002874) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301506555) |
Enumeration Date | 2019-06-05 |
Last Update Date | 2023-10-16 |