NPI | 1568691954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS015887) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34010489) |
Enumeration Date | 2009-07-07 |
Last Update Date | 2014-12-05 |