NPI | 1780181289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A173585) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 173585) |
Enumeration Date | 2018-04-11 |
Last Update Date | 2024-04-02 |