NPI | 1639198856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 28885) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 071270) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2023-08-18 |