NPI | 1174573208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 44835) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 47149) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2017-01-31 |