NPI | 1558702811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A156578) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML 60382470) |
Enumeration Date | 2013-07-15 |
Last Update Date | 2021-12-03 |