NPI | 1912393273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A151771) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A151771) |
Enumeration Date | 2015-04-13 |
Last Update Date | 2020-10-26 |