NPI | 1225194921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101059271) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD31507) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2007-07-08 |