NPI | 1699753921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 56924) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 056924) |
Enumeration Date | 2006-01-06 |
Last Update Date | 2012-04-26 |