NPI | 1770656456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 37032) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN MD39802) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2022-07-21 |