NPI | 1275170342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A21293) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA PTL2170) |
Enumeration Date | 2019-12-07 |
Last Update Date | 2024-10-01 |