| NPI | 1386088599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A16648) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD H82834) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2022-12-07 |