NPI | 1770673683 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 336104) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 19321) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2023-06-01 |