| NPI | 1710397153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A139162) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MD-19237) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2019-02-13 |