NPI | 1568982262 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301501391) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301113181) |
Enumeration Date | 2017-06-23 |
Last Update Date | 2020-10-19 |