NPI | 1033311238 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME99586) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 245726) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2016-06-17 |