NPI | 1548286065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD.06746R) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA L06746R) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2010-03-16 |