NPI | 1417924804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A96123) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME90512) |
Enumeration Date | 2006-03-03 |
Last Update Date | 2014-08-25 |