NPI | 1689054827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D87466) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT209489) |
Enumeration Date | 2015-06-03 |
Last Update Date | 2019-11-01 |