NPI | 1609010271 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0074996) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101253049) |
Enumeration Date | 2009-04-27 |
Last Update Date | 2022-02-08 |