NPI | 1871226225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 74698) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 32928) |
Enumeration Date | 2022-07-04 |
Last Update Date | 2023-08-03 |