NPI | 1780883868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A95172) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 233263) |
207Q00000X Family Medicine (Licence: TX Q1599) | |
Enumeration Date | 2007-07-17 |
Last Update Date | 2024-04-11 |