NPI | 1558803247 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 17827) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 68230) |
Enumeration Date | 2016-11-10 |
Last Update Date | 2024-11-01 |