NPI | 1124432505 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP61098620) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A17434) |
Enumeration Date | 2014-06-13 |
Last Update Date | 2021-02-19 |