NPI | 1841602943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 338934) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2019003293) |
Enumeration Date | 2014-05-22 |
Last Update Date | 2023-09-27 |