| NPI | 1568624948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 116734) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL31125) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2021-11-29 |