NPI | 1447241856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 30553) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 053762) |
Enumeration Date | 2005-11-03 |
Last Update Date | 2010-11-15 |