NPI | 1740445667 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 17856) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C1-0024658) |
207Q00000X Family Medicine (Licence: VA 0116020442) | |
207Q00000X Family Medicine (Licence: TX T6630) | |
207Q00000X Family Medicine (Licence: MN 67955) | |
207Q00000X Family Medicine (Licence: FL ME153758) | |
Enumeration Date | 2008-07-21 |
Last Update Date | 2023-06-29 |