NPI | 1639355076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C134740) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD429612) |
Enumeration Date | 2008-01-16 |
Last Update Date | 2015-06-18 |