NPI | 1750584983 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 138130) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 044920) |
Enumeration Date | 2007-06-06 |
Last Update Date | 2021-11-18 |