NPI | 1295758118 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA c52456) |
Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: CA c53456) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2013-06-18 |