| NPI | 1174584908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 234649) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A89147) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-11-17 |