| NPI | 1437586765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO179583) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A12903) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2020-11-09 |