NPI | 1932334166 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: NC 200401311) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA G-53149) |
208D00000X General Practice (Licence: HI MD-11467) | |
Enumeration Date | 2009-05-18 |
Last Update Date | 2015-05-29 |