NPI | 1346464286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA C149537) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC 210012247) |
207Q00000X Family Medicine (Licence: MD D98223) | |
Enumeration Date | 2007-04-12 |
Last Update Date | 2024-08-16 |