NPI | 1598382632 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 35815) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE TEP8742) |
Enumeration Date | 2020-07-05 |
Last Update Date | 2023-09-06 |