NPI | 1053940106 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2023041817) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A184467) |
Enumeration Date | 2020-04-02 |
Last Update Date | 2024-01-23 |