NPI | 1427013275 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60125725) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 15379) |
Enumeration Date | 2006-04-17 |
Last Update Date | 2013-02-08 |