NPI | 1043487663 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A105400) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT190380) |
Enumeration Date | 2008-05-13 |
Last Update Date | 2021-12-20 |