NPI | 1285016634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A144187) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60838789) |
Enumeration Date | 2015-06-22 |
Last Update Date | 2021-04-16 |