NPI | 1336292994 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A48096) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A48096) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2024-04-03 |