NPI | 1245202548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VT 0420008830) |
Additional Taxonomies | 208D00000X General Practice (Licence: VT 0420008830) |
Enumeration Date | 2006-02-02 |
Last Update Date | 2007-07-08 |