NPI | 1962547919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 39725) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 33164) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2011-10-04 |