NPI | 1598994717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 254058) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 47882) |
207Q00000X Family Medicine (Licence: GA 003564) | |
Enumeration Date | 2009-07-09 |
Last Update Date | 2017-12-04 |