NPI | 1811512684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102208390) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 01002208390) |
Enumeration Date | 2020-06-08 |
Last Update Date | 2025-08-19 |