NPI | 1851366215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101054401) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD462903) |
Enumeration Date | 2006-02-21 |
Last Update Date | 2019-12-10 |