NPI | 1083652309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 55589) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 45332) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2018-05-11 |