NPI | 1578700340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C134456) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10030091) |
Enumeration Date | 2009-01-14 |
Last Update Date | 2024-09-09 |