NPI | 1720298359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301108869) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 28476) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2023-11-27 |