NPI | 1811582083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA GAA-NP000196) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 11011943) |
Enumeration Date | 2021-03-09 |
Last Update Date | 2022-11-11 |