NPI | 1740629815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2015021030) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2013020295) |
Enumeration Date | 2013-06-21 |
Last Update Date | 2020-10-06 |