| NPI | 1205325958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A178157) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MD-21948) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2022-07-11 |