NPI | 1245297076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 57037) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME57037) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2009-03-03 |