NPI | 1629100813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C2-0008977) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS008923L) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2019-02-11 |