NPI | 1073967394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A161724) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 207Q00000X) |
Enumeration Date | 2016-04-22 |
Last Update Date | 2019-08-20 |