NPI | 1386088599 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A16648) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD H82834) |
Enumeration Date | 2013-04-18 |
Last Update Date | 2022-12-07 |