NPI | 1881034361 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 38882) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT204523) |
Enumeration Date | 2013-06-28 |
Last Update Date | 2020-10-29 |