NPI | 1245363969 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A8982) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP00002173) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2016-06-09 |