| NPI | 1659533800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101252657) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A119873) |
| 207Q00000X Family Medicine (Licence: MD D74761) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2024-02-08 |