NPI | 1639161409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0059664) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD-062920-L) |
Enumeration Date | 2005-08-18 |
Last Update Date | 2021-09-13 |