NPI | 1730169533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 12600) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.131675) |
Enumeration Date | 2006-01-18 |
Last Update Date | 2019-01-18 |