| NPI | 1801245386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 18009) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R2725) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2022-06-02 |