NPI | 1851339618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H0059884) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC DO34139) |
207Q00000X Family Medicine (Licence: VA 0102201407) | |
Enumeration Date | 2006-06-03 |
Last Update Date | 2021-06-16 |