NPI | 1881631430 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 09509R) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 09509R) |
207RI0200X Internal Medicine, Infectious Disease (Licence: LA 09509R) | |
Enumeration Date | 2006-06-01 |
Last Update Date | 2011-02-07 |