NPI | 1407200942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 17478) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT016999) |
Enumeration Date | 2016-04-21 |
Last Update Date | 2019-08-02 |