NPI | 1578780060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI 12275) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 238230) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2024-11-18 |