NPI | 1487816294 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A18589) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2011013957) |
Enumeration Date | 2008-07-02 |
Last Update Date | 2023-12-12 |