NPI | 1306374236 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0072561) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A170692) |
Enumeration Date | 2017-05-23 |
Last Update Date | 2024-11-15 |