| NPI | 1598085888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 14468) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R1778) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2017-03-14 |