NPI | 1992067300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2015-01361) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 34799) |
Enumeration Date | 2012-06-12 |
Last Update Date | 2023-04-24 |