| NPI | 1801052477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD170433) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A101787) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2018-12-03 |