NPI | 1578098810 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 40959) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL MD.40959) |
Enumeration Date | 2017-04-24 |
Last Update Date | 2024-09-06 |