NPI | 1780769893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD486245) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT223624) |
Enumeration Date | 2006-10-26 |
Last Update Date | 2024-09-18 |