NPI | 1750320917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 2001-40) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 29739) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2012-12-04 |