NPI | 1528389855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0011458) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD449453) |
Enumeration Date | 2010-06-22 |
Last Update Date | 2015-09-21 |