| NPI | 1013211135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-17900) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2017-0471) |
| 207Q00000X Family Medicine (Licence: CA A117643) | |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2020-04-22 |