| NPI | 1306264791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A163044) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD459857) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2020-03-24 |