NPI | 1346234291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 50463) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 9301073594) |
Enumeration Date | 2005-09-07 |
Last Update Date | 2013-04-03 |