NPI | 1700049079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2012-01448) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 236981) |
Enumeration Date | 2008-07-08 |
Last Update Date | 2023-03-16 |