NPI | 1962623538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A102553) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301084039) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2014-07-24 |