NPI | 1831487883 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A127639) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD452614) |
Enumeration Date | 2011-07-12 |
Last Update Date | 2021-12-06 |