| NPI | 1477117240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA NP95012046) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI APRN-2660) |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2022-11-28 |