NPI | 1811154594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD-204213) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MD-15672) |
207Q00000X Family Medicine (Licence: NY 913) | |
Enumeration Date | 2008-05-20 |
Last Update Date | 2024-08-12 |