NPI | 1780147751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H0102947) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A20200) |
Enumeration Date | 2019-04-08 |
Last Update Date | 2025-06-02 |