NPI | 1538270970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 11039) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 22128) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-07-08 |