NPI | 1306182464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A12299) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A12299) |
Enumeration Date | 2012-12-18 |
Last Update Date | 2021-12-21 |