NPI | 1225234701 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA DO.000350) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 0534293) |
Enumeration Date | 2007-06-22 |
Last Update Date | 2016-09-14 |