NPI | 1558854539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD201918) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND RL15129) |
Enumeration Date | 2018-06-13 |
Last Update Date | 2021-08-09 |