NPI | 1578500021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G60173) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G60173) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2015-04-06 |