NPI | 1689801045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D84196) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116021396) |
Enumeration Date | 2009-06-12 |
Last Update Date | 2018-11-28 |