NPI | 1235170440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A95816) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M2180) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2023-09-21 |