| NPI | 1578755781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A97868) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 40927) |
| Enumeration Date | 2007-08-11 |
| Last Update Date | 2022-11-01 |