NPI | 1306882030 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C52847) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD-067921-L) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2021-12-22 |