| NPI | 1477647931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 80223) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A94676) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2025-09-29 |