NPI | 1487883104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301094500) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5315041175) |
Enumeration Date | 2009-07-02 |
Last Update Date | 2014-01-22 |