NPI | 1689868069 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 4443) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2007018122) |
Enumeration Date | 2007-08-29 |
Last Update Date | 2013-08-02 |