| NPI | 1750647434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD178434) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A127072) |
| 207Q00000X Family Medicine (Licence: WA MD 60579852) | |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2021-11-30 |