NPI | 1861538035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: MD D0066207) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116021690) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2023-04-20 |