NPI | 1922334044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0059256) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101058726) |
Enumeration Date | 2009-10-23 |
Last Update Date | 2009-10-23 |