NPI | 1679860142 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C159091) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301098534) |
Enumeration Date | 2011-07-06 |
Last Update Date | 2019-08-08 |