NPI | 1760506240 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0009114) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0101059) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2024-07-09 |