NPI | 1780251157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A197883) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A197883) |
Enumeration Date | 2021-06-05 |
Last Update Date | 2024-11-15 |