NPI | 1881905768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NE 6221) |
Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: NE 6221) |
Enumeration Date | 2010-06-25 |
Last Update Date | 2023-05-24 |