NPI | 1699791400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036112086) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA MD-49275) |
207Q00000X Family Medicine (Licence: KY C0517) | |
207Q00000X Family Medicine (Licence: MI EMC0001491) | |
207Q00000X Family Medicine (Licence: MN 70538) | |
Enumeration Date | 2006-07-14 |
Last Update Date | 2021-12-07 |