NPI | 1477849503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 51645) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 4057) |
Enumeration Date | 2011-06-28 |
Last Update Date | 2017-08-14 |