NPI | 1508206152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2014034662) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2013020975) |
207Q00000X Family Medicine (Licence: AR E9708) | |
Enumeration Date | 2013-06-27 |
Last Update Date | 2018-03-17 |