NPI | 1548271257 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS14040) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI LS008003) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2016-07-13 |