| NPI | 1447279971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A89142) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 0430834) |
| 207Q00000X Family Medicine (Licence: IA 35467) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-10-11 |