NPI | 1902034341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2012-0006) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM RS2009-0405) |
Enumeration Date | 2009-06-24 |
Last Update Date | 2013-02-28 |