NPI | 1598779746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID O-0506) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 1943) |
207Q00000X Family Medicine (Licence: ID O0506) | |
Enumeration Date | 2006-07-27 |
Last Update Date | 2023-03-15 |