NPI | 1184061954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ R73838) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 52114) |
Enumeration Date | 2013-06-03 |
Last Update Date | 2016-05-22 |