NPI | 1871791244 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60834465) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD444171) |
Enumeration Date | 2007-07-06 |
Last Update Date | 2021-06-22 |