NPI | 1063608743 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A112811) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A12811) |
Enumeration Date | 2007-09-17 |
Last Update Date | 2024-05-17 |