NPI | 1073619722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A88475) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A88475) |
207Q00000X Family Medicine (Licence: OH 35088612) | |
207Q00000X Family Medicine (Licence: IL 036118511) | |
Enumeration Date | 2006-09-16 |
Last Update Date | 2020-05-29 |