NPI | 1609437474 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C2-0024088) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2019022866) |
Enumeration Date | 2019-06-24 |
Last Update Date | 2022-08-04 |