| NPI | 1528403185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A159783) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD459349) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2019-01-09 |