NPI | 1760547400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME89284) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX H7277) |
Enumeration Date | 2006-12-22 |
Last Update Date | 2015-12-31 |