| NPI | 1639564560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A143987) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD-2022-0009) |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2023-01-20 |