NPI | 1073526364 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200400983) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 200400983) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2013-10-24 |