| NPI | 1336395458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A110552) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11013450A) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2021-12-17 |