NPI | 1912013749 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 42602) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M8096) |
207Q00000X Family Medicine (Licence: SC 19512) | |
Enumeration Date | 2006-08-22 |
Last Update Date | 2020-03-27 |