NPI | 1770777161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 05-33527) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 14878) |
Enumeration Date | 2007-08-29 |
Last Update Date | 2021-08-08 |