NPI | 1538506266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD179807) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT204726) |
Enumeration Date | 2013-06-04 |
Last Update Date | 2016-10-05 |