| NPI | 1265455448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A8315) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM A129605) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2021-12-17 |