NPI | 1215907233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C55329) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD24599) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2018-09-11 |