NPI | 1003265745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A168887) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301109872) |
Enumeration Date | 2016-06-03 |
Last Update Date | 2021-07-31 |