NPI | 1134120215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C2-0008476) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS009871L) |
Enumeration Date | 2005-08-10 |
Last Update Date | 2016-08-12 |