| NPI | 1417187618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C156596) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA MD.205031) |
| 207Q00000X Family Medicine (Licence: WA MD60115754) | |
| 207Q00000X Family Medicine (Licence: GA 70428) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2024-03-12 |