| NPI | 1346604394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A22283) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS019913) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2024-06-20 |