NPI | 1932441409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60642206) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD455646) |
207Q00000X Family Medicine (Licence: NM MD2016-0692) | |
207Q00000X Family Medicine (Licence: WA ML60370894) | |
Enumeration Date | 2013-03-22 |
Last Update Date | 2021-01-14 |