NPI | 1487979589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60966200) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q3063) |
207Q00000X Family Medicine (Licence: FL ME114455) | |
207Q00000X Family Medicine (Licence: LA MD.207328) | |
Enumeration Date | 2010-03-31 |
Last Update Date | 2023-12-07 |