NPI | 1174784300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0116018858) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A106157) |
Enumeration Date | 2008-06-20 |
Last Update Date | 2013-08-20 |