NPI | 1528320942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A142517) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 252016) |
Enumeration Date | 2012-06-12 |
Last Update Date | 2018-07-09 |