NPI | 1750586459 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C54217) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C54217) |
207R00000X Internal Medicine (Licence: TX J2629) | |
Enumeration Date | 2007-06-20 |
Last Update Date | 2020-01-06 |