NPI | 1992019947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO151460) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A14141) |
Enumeration Date | 2010-08-02 |
Last Update Date | 2022-04-18 |