| NPI | 1457710527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A14900) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS13728) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2020-11-30 |