NPI | 1750919023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 010924) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: GA 95609) |
Enumeration Date | 2020-03-31 |
Last Update Date | 2024-06-20 |