NPI | 1831481639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA c167719) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 58711) |
Enumeration Date | 2011-05-11 |
Last Update Date | 2021-12-17 |