NPI | 1295998953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301109197) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 10080939) |
Enumeration Date | 2008-07-02 |
Last Update Date | 2016-08-24 |