| NPI | 1710100706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A13914) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 4678) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2024-02-03 |