NPI | 1487094108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-13755) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11017391A) |
Enumeration Date | 2013-06-26 |
Last Update Date | 2017-11-09 |