| NPI | 1548202872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A9342) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A9342) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-02-25 |