NPI | 1992797880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2010018310) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 35759) |
Enumeration Date | 2005-08-17 |
Last Update Date | 2013-09-24 |