NPI | 1487913125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301100566) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 1667-320) |
Enumeration Date | 2012-05-15 |
Last Update Date | 2024-01-02 |