NPI | 1730342585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 36388) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 58432) |
207Q00000X Family Medicine (Licence: OK 38802) | |
207Q00000X Family Medicine (Licence: MT 142057) | |
207Q00000X Family Medicine (Licence: AZ 54643) | |
Enumeration Date | 2008-07-02 |
Last Update Date | 2025-06-29 |