NPI | 1649218744 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 11484) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 127463) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2023-09-13 |