NPI | 1558578492 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 4631) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX m4012) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2014-03-31 |