NPI | 1992327621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61445178) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MRM-1930) |
Enumeration Date | 2020-05-15 |
Last Update Date | 2023-08-24 |