NPI | 1316904121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H0062851) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C2-0007295) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2008-05-05 |