NPI | 1821249624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 50306) |
Additional Taxonomies | 208600000X Surgery (Licence: MT 11886) |
208600000X Surgery (Licence: CO 50306) | |
Enumeration Date | 2008-10-10 |
Last Update Date | 2016-02-29 |