NPI | 1811569056 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A23121) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV DO3725) |
Enumeration Date | 2021-07-16 |
Last Update Date | 2025-09-22 |