NPI | 1962583617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C135085) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 48550) |
207Q00000X Family Medicine (Licence: NM MD20070158) | |
207Q00000X Family Medicine (Licence: WI 48578-020) | |
Enumeration Date | 2006-10-18 |
Last Update Date | 2021-05-11 |