NPI | 1043212228 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 105981) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 31578) |
Enumeration Date | 2005-06-01 |
Last Update Date | 2012-11-09 |