NPI | 1215166640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A121521) |
Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: CA A121521) |
Enumeration Date | 2009-07-07 |
Last Update Date | 2022-02-11 |