| NPI | 1750351615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C52703) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO MD072715L) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2023-03-07 |