NPI | 1538421029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 34652) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL34652) |
Enumeration Date | 2012-06-12 |
Last Update Date | 2023-01-05 |