NPI | 1508852328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 234012) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD043090L) |
Enumeration Date | 2005-09-27 |
Last Update Date | 2018-07-22 |