NPI | 1982223541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 76448) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 8528) |
Enumeration Date | 2020-04-14 |
Last Update Date | 2023-08-30 |