NPI | 1669811055 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A14674) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R2271) |
Enumeration Date | 2013-06-18 |
Last Update Date | 2024-08-09 |