| NPI | 1467726968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A12170) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP61408362) |
| 207Q00000X Family Medicine (Licence: FL TPOS531) | |
| 207Q00000X Family Medicine (Licence: NY 271961) | |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2023-09-20 |