NPI | 1306952619 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 14450) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA a52665) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2007-11-05 |