| NPI | 1467429399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2020-00427) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.094392) |
| 207Q00000X Family Medicine (Licence: CA G129943) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2021-03-29 |