| NPI | 1770631699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A9065) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA TO60541735) |
| 207Q00000X Family Medicine (Licence: HI DOS-1158) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2021-11-29 |