NPI | 1972660900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101059165) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD d0054444) |
207Q00000X Family Medicine (Licence: DC md039299) | |
Enumeration Date | 2007-01-02 |
Last Update Date | 2021-06-06 |