| NPI | 1295704112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C169337) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101228271) |
| 207Q00000X Family Medicine (Licence: WA MD 00044803) | |
| 207Q00000X Family Medicine (Licence: IL 36116503) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2023-08-29 |