NPI | 1952666067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 1612) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL1612) |
Enumeration Date | 2012-07-05 |
Last Update Date | 2015-09-30 |