| NPI | 1427038926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A13157) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ AZ 3975) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2021-08-24 |