NPI | 1801997051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A9734) |
Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: HI 1013) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2007-07-10 |