NPI | 1679268767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 90245) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL90245) |
Enumeration Date | 2023-04-06 |
Last Update Date | 2025-04-08 |