NPI | 1588639215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 13023) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH LT-2235) |
207Q00000X Family Medicine (Licence: NH T-0134) | |
Enumeration Date | 2006-02-17 |
Last Update Date | 2022-10-17 |