NPI | 1740366988 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 46190) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SD 4910) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2015-10-21 |