NPI | 1093860652 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 200702054) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A64950) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2014-06-27 |