NPI | 1588759468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL os 10394) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 3985) |
207Q00000X Family Medicine (Licence: MN 107764) | |
207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL OS10394) | |
Enumeration Date | 2006-10-04 |
Last Update Date | 2024-08-08 |