NPI | 1457655482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 12489) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 10701) |
Enumeration Date | 2011-01-05 |
Last Update Date | 2015-09-15 |