NPI | 1730318999 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60412262) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2009018426) |
Enumeration Date | 2009-07-09 |
Last Update Date | 2021-06-24 |