| NPI | 1487853404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 11723) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A9694) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2023-03-07 |