| NPI | 1174051437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2023-1248) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A163440) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2023-08-14 |