NPI | 1366777682 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0079707) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 2620311) |
Enumeration Date | 2009-10-04 |
Last Update Date | 2016-02-29 |