NPI | 1528201779 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C178283) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2012-01828) |
Enumeration Date | 2009-04-16 |
Last Update Date | 2023-10-24 |