NPI | 1326128950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A107575) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN8433) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2016-03-11 |