NPI | 1437248564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: PR 4272) |
Additional Taxonomies | 174400000X Specialist (Licence: PR 4272) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2012-04-10 |