| NPI | 1518491836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A22930) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 302581) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2024-09-25 |