| NPI | 1326238643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A93808) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A93808) |
| 208000000X Pediatrics (Licence: CA A93808) | |
| 208D00000X General Practice (Licence: CA A93808) | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2021-03-23 |