NPI | 1649295544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME82225) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME82225) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2012-11-16 |