| NPI | 1356860332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 95007214) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 95007214) |
| 208000000X Pediatrics (Licence: CA 95007214) | |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2018-04-26 |