NPI | 1629342613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: MD H0098902) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD H0098902) |
Enumeration Date | 2012-03-08 |
Last Update Date | 2025-04-01 |