| NPI | 1366673683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 127275) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 39701) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2024-12-10 |