NPI | 1619235132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 210810) |
Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: NC 210810) |
Enumeration Date | 2012-05-03 |
Last Update Date | 2021-03-31 |