NPI | 1033671813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101279678) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A180044) |
Enumeration Date | 2019-04-02 |
Last Update Date | 2023-08-31 |