| NPI | 1801070883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 127903) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 42011) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2023-07-10 |