| NPI | 1629237276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A116375) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD435375) |
| Enumeration Date | 2008-06-07 |
| Last Update Date | 2021-10-15 |