NPI | 1558408880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101052826) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0048074) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2021-06-09 |