NPI | 1912527078 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 339845) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 339845) |
Enumeration Date | 2020-04-19 |
Last Update Date | 2024-02-01 |