NPI | 1811086762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD28074) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301081301) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2021-03-22 |