NPI | 1114013794 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 257310) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 015052) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2017-03-17 |