NPI | 1104930353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME105007) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036099039) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2018-06-25 |