NPI | 1194791178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A100202) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-104581) |
207Q00000X Family Medicine (Licence: MO 2004025497) | |
Enumeration Date | 2006-02-28 |
Last Update Date | 2024-05-10 |