NPI | 1093974651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C162037) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME123086) |
Enumeration Date | 2008-06-08 |
Last Update Date | 2023-05-09 |