| NPI | 1376820076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0076373) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A119097) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2025-07-21 |