NPI | 1639140742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101 007810) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 200401569) |
207Q00000X Family Medicine (Licence: FL OS10821) | |
Enumeration Date | 2006-01-27 |
Last Update Date | 2015-05-18 |