NPI | 1619311396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS12374) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 2854) |
207Q00000X Family Medicine (Licence: FL UO3361) | |
Enumeration Date | 2013-04-24 |
Last Update Date | 2024-01-09 |