NPI | 1760511562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD167249) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND 9145) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2015-04-29 |