NPI | 1528403185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A159783) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD459349) |
Enumeration Date | 2013-05-08 |
Last Update Date | 2019-01-09 |