NPI | 1811097041 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 043497) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD432289) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2007-12-10 |