NPI | 1508816950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME126489) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX L9177) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2024-11-19 |