NPI | 1497846638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA A036979) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A036979) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2014-02-19 |