| NPI | 1609974294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SD 12858) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID M-15867) |
| 207Q00000X Family Medicine (Licence: CA A89563) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-05-28 |