NPI | 1518380922 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 28031) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A146531) |
Enumeration Date | 2014-01-22 |
Last Update Date | 2024-07-22 |