NPI | 1427120476 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 260058) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 10531) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2014-09-18 |