NPI | 1033406657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 34287) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 4049) |
Enumeration Date | 2011-07-03 |
Last Update Date | 2015-11-25 |