| NPI | 1184771370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD476078) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD27445) |
| 207Q00000X Family Medicine (Licence: CA A89985) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2023-09-05 |