NPI | 1720181084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C159591) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101238023) |
207Q00000X Family Medicine (Licence: OH 35121711) | |
Enumeration Date | 2006-09-05 |
Last Update Date | 2021-07-06 |