| NPI | 1518983063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A82603) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: CA A82603) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2019-12-09 |