| NPI | 1407265788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A145464) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C1-0011065) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2017-10-18 |