NPI | 1780998021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A123145) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND RL11595) |
Enumeration Date | 2010-07-28 |
Last Update Date | 2017-12-05 |