NPI | 1053687152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A12842) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA 20A12842) |
Enumeration Date | 2012-03-22 |
Last Update Date | 2020-08-24 |