NPI | 1881088870 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A166042) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101272288) |
207Q00000X Family Medicine (Licence: NY 294849) | |
Enumeration Date | 2015-03-27 |
Last Update Date | 2024-04-15 |