NPI | 1215981980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2008022991) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 04-31545) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2016-09-02 |