NPI | 1033131941 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C177173) |
Additional Taxonomies | 208D00000X General Practice (Licence: MI RD057506) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2022-05-20 |