NPI | 1770596678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 4689) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A9400) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2013-02-18 |