| NPI | 1427439967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A158445) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MD-21241) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2025-09-02 |