NPI | 1194988311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 005671) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME T0831) |
Enumeration Date | 2008-07-08 |
Last Update Date | 2011-08-15 |