NPI | 1952677957 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A160468) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 0052979) |
Enumeration Date | 2012-03-24 |
Last Update Date | 2020-08-08 |