| NPI | 1730371410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2009-0648) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A099730) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2020-04-23 |