NPI | 1689294456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A24082) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR DO216862) |
207Q00000X Family Medicine (Licence: NV DO3271) | |
Enumeration Date | 2020-04-22 |
Last Update Date | 2025-06-20 |