NPI | 1730167867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 14620) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A93696) |
Enumeration Date | 2006-01-09 |
Last Update Date | 2020-08-18 |