NPI | 1700041506 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C153088) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 1.053789) |
207Q00000X Family Medicine (Licence: NY 262234) | |
207Q00000X Family Medicine (Licence: MA 259023) | |
Enumeration Date | 2008-07-22 |
Last Update Date | 2019-05-17 |