NPI | 1700464617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0098505) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX V1558) |
Enumeration Date | 2021-03-31 |
Last Update Date | 2024-06-13 |