NPI | 1205897006 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K7079) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.089315) |
Enumeration Date | 2006-03-31 |
Last Update Date | 2008-01-29 |