NPI | 1952606881 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 14164) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND 11715) |
Enumeration Date | 2011-01-25 |
Last Update Date | 2021-02-11 |