| NPI | 1538542303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A155079) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 1908 R75206) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2024-06-27 |