NPI | 1154726065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A13618) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A13618) |
Enumeration Date | 2014-11-04 |
Last Update Date | 2024-08-28 |