NPI | 1780629543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI 16883) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 30953) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2017-08-25 |