NPI | 1568532372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 36504) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60136339) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2021-06-04 |