| NPI | 1114032562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME MD18425) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 46469) |
| 207Q00000X Family Medicine (Licence: CA A77047) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2023-11-17 |