NPI | 1801242250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME151831) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C12-0000048) |
207Q00000X Family Medicine (Licence: FL ME151831) | |
Enumeration Date | 2016-05-04 |
Last Update Date | 2024-09-17 |