NPI | 1639272131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME124493) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D60526) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2024-06-04 |