NPI | 1528006590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 21010) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 104143) |
207Q00000X Family Medicine (Licence: KS 04-27866) | |
Enumeration Date | 2006-06-03 |
Last Update Date | 2014-09-25 |