| NPI | 1003846510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS16118) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A7006) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-12-28 |