| NPI | 1700851896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A13732) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 13732) |
| 207R00000X Internal Medicine (Licence: CA 20A13732) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2018-10-22 |