NPI | 1205068525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO 1167) |
Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: AL DO 1167) |
207QA0505X Family Medicine, Adult Medicine (Licence: AL DO 1167) | |
207QG0300X Family Medicine, Geriatric Medicine (Licence: AL DO 1167) | |
Enumeration Date | 2009-08-20 |
Last Update Date | 2013-06-13 |