NPI | 1124373642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H75358) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C20010184) |
Enumeration Date | 2012-07-20 |
Last Update Date | 2015-11-06 |