NPI | 1023214459 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301099552) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A105740) |
Enumeration Date | 2007-06-22 |
Last Update Date | 2011-08-10 |