NPI | 1962884015 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 007694) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116028550) |
Enumeration Date | 2015-06-25 |
Last Update Date | 2018-09-07 |