NPI | 1568419513 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD.30419) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 12913) |
Enumeration Date | 2006-05-27 |
Last Update Date | 2019-06-03 |