| NPI | 1528384146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A117527) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 8268) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2024-04-02 |