NPI | 1770696262 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2015-01803) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 156858) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2016-02-06 |