NPI | 1609885698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2009-01358) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301070450) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2024-01-19 |