NPI | 1982086385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI DOS-2011) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A14116) |
Enumeration Date | 2015-06-22 |
Last Update Date | 2019-09-11 |