NPI | 1578786406 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 16202) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 43426) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2020-11-13 |