| NPI | 1336598184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-21949) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A155926) |
| Enumeration Date | 2016-06-11 |
| Last Update Date | 2022-07-21 |