NPI | 1700966868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS014439) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02002500A) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2011-12-05 |