NPI | 1578122289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101285050) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 331546) |
Enumeration Date | 2019-06-07 |
Last Update Date | 2025-06-05 |