NPI | 1619402484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-14433) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MRM-1638) |
Enumeration Date | 2017-04-28 |
Last Update Date | 2024-07-19 |