NPI | 1215211016 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A137992) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR PG154826) |
Enumeration Date | 2011-09-29 |
Last Update Date | 2022-02-01 |