NPI | 1073740759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 55480) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R8650) |
Enumeration Date | 2009-06-19 |
Last Update Date | 2017-07-18 |