NPI | 1477511764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 36335) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME 94625) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2024-02-16 |