NPI | 1649470717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 88494) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 30401) |
Enumeration Date | 2007-07-18 |
Last Update Date | 2024-04-22 |