| NPI | 1235173253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GU M-1599) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A64881) |
| 207Q00000X Family Medicine (Licence: CA A64881) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2023-11-16 |