NPI | 1689134686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C2-0024178) |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: DE C2-0024178) |
Enumeration Date | 2019-03-25 |
Last Update Date | 2024-04-29 |