NPI | 1659543981 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS10679) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL US1501) |
Enumeration Date | 2008-03-26 |
Last Update Date | 2010-01-14 |