NPI | 1992716161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0037364) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 3528) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2022-01-13 |