| NPI | 1225067812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ TP00979) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G67490) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2021-04-06 |