NPI | 1619380573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 37015) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL30715) |
Enumeration Date | 2014-06-09 |
Last Update Date | 2024-08-12 |