NPI | 1033182274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0071697) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101236510) |
207Q00000X Family Medicine (Licence: PA MD438639) | |
Enumeration Date | 2006-02-08 |
Last Update Date | 2012-05-22 |