| NPI | 1013300367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 3791) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A15766) |
| 207Q00000X Family Medicine (Licence: NE 895) | |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2022-03-21 |