NPI | 1477728962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 252429) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD443883) |
Enumeration Date | 2008-04-25 |
Last Update Date | 2012-07-16 |