NPI | 1467494500 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 201402479) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 23081) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2019-07-29 |