NPI | 1508183146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 37079) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 53087) |
Enumeration Date | 2010-04-21 |
Last Update Date | 2020-09-23 |