NPI | 1104827666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A53448) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A53448) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2018-10-08 |