NPI | 1417069295 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A86188) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A86188) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2012-09-12 |