| NPI | 1801978432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NM MD2021-0252) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A62545) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2022-09-20 |