NPI | 1780811398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 51605) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT196075) |
Enumeration Date | 2009-06-22 |
Last Update Date | 2021-06-23 |