NPI | 1831534866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 30816) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SD 10441) |
Enumeration Date | 2013-05-03 |
Last Update Date | 2020-11-28 |