NPI | 1760447387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 47822) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 61092627 1205) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2015-05-14 |