NPI | 1841315389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A112856) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 53087-020) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2022-11-21 |