NPI | 1639240765 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 049877) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: SC 92875) |
Enumeration Date | 2006-11-12 |
Last Update Date | 2025-02-28 |