NPI | 1346215852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 13332) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 49112) |
Enumeration Date | 2006-02-18 |
Last Update Date | 2017-02-15 |