NPI | 1730180092 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID O0372) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR DO27065) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2013-07-17 |