| NPI | 1548437338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO158333) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A9931) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2026-04-16 |