NPI | 1447419569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 35077) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2011-00922) |
Enumeration Date | 2008-06-04 |
Last Update Date | 2012-09-19 |