| NPI | 1538394044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A119254) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D74845) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2021-12-03 |