NPI | 1669835922 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME173177) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.135842) |
Enumeration Date | 2016-04-03 |
Last Update Date | 2025-06-03 |