| NPI | 1134611882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A173639) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 173639) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2021-11-15 |