NPI | 1790206407 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A169547) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 7970) |
Enumeration Date | 2017-07-03 |
Last Update Date | 2020-07-30 |