NPI | 1568483980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA DO-05078) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL FLOS8766) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2020-02-11 |