NPI | 1689991564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 76688) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 206195) |
Enumeration Date | 2010-04-30 |
Last Update Date | 2019-10-10 |