NPI | 1811952328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A85641) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 38816) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2015-02-10 |