| NPI | 1487823936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A113249) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT185080) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2023-07-02 |