NPI | 1043203615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 27723) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: LA MD024835) |
Enumeration Date | 2005-08-29 |
Last Update Date | 2008-01-23 |