NPI | 1720116452 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 83851) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61603067) |
207Q00000X Family Medicine (Licence: CO DR.0073998) | |
207Q00000X Family Medicine (Licence: SC LL28993) | |
207Q00000X Family Medicine (Licence: FL ME105139) | |
Enumeration Date | 2007-03-02 |
Last Update Date | 2025-04-16 |