NPI | 1538203856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: NM 94-300) |
Additional Taxonomies | 193200000X Multi-Specialty (Licence: NM 94-300) |
Enumeration Date | 2007-02-19 |
Last Update Date | 2020-11-05 |