NPI | 1255426565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A511160) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A511160) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2007-07-08 |