NPI | 1598058711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-12914) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML60224509) |
Enumeration Date | 2011-05-20 |
Last Update Date | 2024-07-19 |