NPI | 1659379766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL os9406) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL os9406) |
Enumeration Date | 2005-07-12 |
Last Update Date | 2013-04-05 |