NPI | 1578601357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G158880) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D57494) |
Enumeration Date | 2007-02-02 |
Last Update Date | 2019-05-15 |