NPI | 1154414670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C55710) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX H9577) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2013-05-06 |