| NPI | 1518183961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A133411) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 53364) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2022-06-01 |