NPI | 1902131048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A110321) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA pending) |
Enumeration Date | 2009-10-07 |
Last Update Date | 2012-02-08 |