NPI | 1790121796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2015-02035) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 191485) |
Enumeration Date | 2013-05-16 |
Last Update Date | 2023-03-07 |