NPI | 1043254576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD152431) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A83176) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2011-06-23 |