NPI | 1790047900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 63914-20) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL 34569) |
Enumeration Date | 2012-06-13 |
Last Update Date | 2024-08-01 |