NPI | 1053310946 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A98361) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101237526) |
Enumeration Date | 2005-07-21 |
Last Update Date | 2015-09-01 |