NPI | 1336300664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 21080) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 018705) |
207Q00000X Family Medicine (Licence: ME MD18705) | |
Enumeration Date | 2008-06-19 |
Last Update Date | 2015-11-03 |