NPI | 1689679391 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2003014018) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2003014018) |
Enumeration Date | 2005-06-17 |
Last Update Date | 2009-01-09 |