NPI | 1689668048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-23863) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 45087) |
207Q00000X Family Medicine (Licence: CA A72337) | |
Enumeration Date | 2005-08-31 |
Last Update Date | 2024-01-26 |