NPI | 1417094277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A11320) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA 20A11320) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2012-08-31 |