NPI | 1265455448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A8315) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM A129605) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2021-12-17 |