NPI | 1275723793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0011324) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 430109688) |
Enumeration Date | 2007-07-31 |
Last Update Date | 2015-08-25 |