NPI | 1427408723 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61069190) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A157238) |
Enumeration Date | 2016-06-16 |
Last Update Date | 2021-01-19 |