NPI | 1932344199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD153563) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR LL17978) |
Enumeration Date | 2008-12-02 |
Last Update Date | 2012-10-15 |