NPI | 1750516340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0112202707) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 2OA10424) |
Enumeration Date | 2009-05-26 |
Last Update Date | 2012-08-14 |