| NPI | 1528366432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G87150) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 195993) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2018-04-23 |