NPI | 1992744098 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PR 11114) |
Additional Taxonomies | 174400000X Specialist (Licence: PR 11114) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2016-04-30 |