NPI | 1811000953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301102021) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI LP00965) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2022-01-12 |