NPI | 1689231458 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC LL82147) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C2-0024046) |
Enumeration Date | 2019-05-28 |
Last Update Date | 2022-08-02 |