NPI | 1750837993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 15215) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 6061) |
Enumeration Date | 2016-08-28 |
Last Update Date | 2018-11-26 |