NPI | 1992732903 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0434315) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD436902) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2022-01-13 |