NPI | 1275584898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA A91329) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A91329) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2014-01-15 |