NPI | 1295769446 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP00001379) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 5527655-1204) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2014-03-19 |