NPI | 1265616809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL me106791) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 26076) |
Enumeration Date | 2007-12-18 |
Last Update Date | 2016-12-05 |