NPI | 1568955912 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2020-00145) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME150698) |
Enumeration Date | 2018-06-11 |
Last Update Date | 2022-06-29 |