NPI | 1699294801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA NP95007269) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA NP95007269) |
Enumeration Date | 2017-09-19 |
Last Update Date | 2022-07-21 |