NPI | 1619593126 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A183552) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 8900) |
Enumeration Date | 2020-06-20 |
Last Update Date | 2023-10-25 |