NPI | 1174522288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C2-0007018) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ MB077652) |
Enumeration Date | 2005-07-20 |
Last Update Date | 2008-12-03 |