| NPI | 1275769887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: CA A120827) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A120827) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2020-01-06 |