| NPI | 1184867806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 17465) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 45316) |
| 207Q00000X Family Medicine (Licence: CA A105644) | |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2022-12-13 |