NPI | 1306888433 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD.024416) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 40645) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2012-08-14 |