NPI | 1831263441 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: KS 04-33812) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA G61744) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2009-10-07 |