| NPI | 1548373491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A8387) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI DOS 1061) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2015-06-16 |