NPI | 1174783211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 11974) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-8325) |
Enumeration Date | 2008-06-12 |
Last Update Date | 2012-01-19 |