NPI | 1508482084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME161317) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4351046594) |
Enumeration Date | 2020-06-22 |
Last Update Date | 2023-04-20 |