NPI | 1952622409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME128492) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: IN 01071899A) |
Enumeration Date | 2010-06-18 |
Last Update Date | 2016-11-21 |