NPI | 1245724061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 72613) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A174303) |
207Q00000X Family Medicine (Licence: VA 0116031973) | |
Enumeration Date | 2018-06-15 |
Last Update Date | 2024-09-20 |