NPI | 1477797538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 124894) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR 160655) |
Enumeration Date | 2009-04-20 |
Last Update Date | 2022-02-04 |