NPI | 1851561286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H0086543) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102206104) |
Enumeration Date | 2008-02-29 |
Last Update Date | 2022-06-14 |