NPI | 1548383151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: MD MD U01078) |
Additional Taxonomies | 208D00000X General Practice (Licence: PA PA KO000582) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2007-07-08 |