| NPI | 1013101161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C186176) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 19863) |
| 207Q00000X Family Medicine (Licence: AR E-6423) | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2023-05-26 |