NPI | 1922242163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 21756) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD19394) |
207Q00000X Family Medicine (Licence: WA 60830957) | |
Enumeration Date | 2009-04-30 |
Last Update Date | 2021-09-09 |