| NPI | 1477539252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 84917) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C132774) |
| 208D00000X General Practice (Licence: NV 12913) | |
| 208D00000X General Practice (Licence: IN 01054888A) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2022-03-16 |