NPI | 1245698299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A170968) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 424) |
Enumeration Date | 2016-02-05 |
Last Update Date | 2024-04-17 |