NPI | 1023074952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 52313) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MA 52313) |
Enumeration Date | 2006-04-20 |
Last Update Date | 2007-07-08 |