NPI | 1477745222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA 303347) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A105625) |
Enumeration Date | 2007-08-15 |
Last Update Date | 2014-07-09 |