| NPI | 1346295821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C162713) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MD13060) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2019-08-27 |