NPI | 1871728691 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 155250) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD446891) |
Enumeration Date | 2009-05-22 |
Last Update Date | 2022-05-01 |