NPI | 1093932576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME118389) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 232144) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2016-03-24 |