NPI | 1275849903 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20a12939) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS 11003) |
Enumeration Date | 2010-08-18 |
Last Update Date | 2016-12-02 |