| NPI | 1326164369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A101196) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-046935) |
| 208000000X Pediatrics (Licence: IL 125-046935) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-05-29 |