NPI | 1164443768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A46227) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A46227) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2007-07-08 |