NPI | 1699881284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 031698) |
Additional Taxonomies | 208D00000X General Practice (Licence: CT 031698) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2013-06-21 |