| NPI | 1477844017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A122437) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GU M-1913) |
| Enumeration Date | 2011-05-01 |
| Last Update Date | 2023-07-31 |