NPI | 1164532404 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 24380) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 16079) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2014-03-10 |