NPI | 1902981277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A7739) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA 20A7739) |
Enumeration Date | 2006-10-26 |
Last Update Date | 2007-07-08 |