NPI | 1417138140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD457627) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101243056) |
Enumeration Date | 2007-11-22 |
Last Update Date | 2016-08-15 |