NPI | 1770658718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101047581) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0071907) |
207Q00000X Family Medicine (Licence: DC MD040064) | |
Enumeration Date | 2006-11-22 |
Last Update Date | 2021-05-31 |