NPI | 1407887961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 48788) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM A-1214-03) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2014-11-12 |