| NPI | 1588828891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60109602) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A104633) |
| 207Q00000X Family Medicine (Licence: ID M-15713) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2021-06-28 |