NPI | 1184707952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M8278) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00040077) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2011-11-17 |