| NPI | 1306276241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2018-0853) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 128099) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2023-09-14 |