NPI | 1801278981 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 54992) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301107152) |
Enumeration Date | 2015-06-24 |
Last Update Date | 2025-07-07 |