NPI | 1952806192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2020032472) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 0543886) |
Enumeration Date | 2018-03-29 |
Last Update Date | 2022-12-23 |