NPI | 1144261249 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2017-00569) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34006196C) |
207Q00000X Family Medicine (Licence: CA 20A10878) | |
207Q00000X Family Medicine (Licence: AZ 4361) | |
Enumeration Date | 2006-06-09 |
Last Update Date | 2018-10-18 |