NPI | 1720038185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 23351) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT186125) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2023-02-06 |