NPI | 1043270903 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 41783) |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: CO 41783) |
Enumeration Date | 2006-03-24 |
Last Update Date | 2011-05-02 |