| NPI | 1184007874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A154707) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MD-23279) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2024-05-08 |