NPI | 1780815563 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A110491) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA A110491) |
Enumeration Date | 2009-07-28 |
Last Update Date | 2023-04-10 |