NPI | 1972579092 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 14205) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 012836) |
Enumeration Date | 2006-02-28 |
Last Update Date | 2016-02-03 |