NPI | 1295704112 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C169337) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101228271) |
207Q00000X Family Medicine (Licence: WA MD 00044803) | |
207Q00000X Family Medicine (Licence: IL 36116503) | |
Enumeration Date | 2006-03-14 |
Last Update Date | 2023-08-29 |