NPI | 1750733911 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 15924) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND PT15924) |
Enumeration Date | 2016-07-11 |
Last Update Date | 2019-12-17 |