NPI | 1477534030 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 9879) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 0441933) |
Enumeration Date | 2005-11-10 |
Last Update Date | 2022-08-09 |