NPI | 1518187822 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0066434) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 214300) |
Enumeration Date | 2007-04-27 |
Last Update Date | 2008-03-11 |