| NPI | 1184914202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A132471) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 390200000X) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2023-08-09 |