| NPI | 1194992073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-17961) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A103061) |
| Enumeration Date | 2008-05-10 |
| Last Update Date | 2021-07-09 |