NPI | 1508120932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 294613) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 28681) |
Enumeration Date | 2012-06-29 |
Last Update Date | 2023-11-27 |