NPI | 1639323553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA a127700) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2014-0002) |
Enumeration Date | 2008-11-05 |
Last Update Date | 2021-12-08 |