NPI | 1972679165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H0055542) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC D032891) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2011-11-10 |