| NPI | 1811125107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C150774) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-8594) |
| 207Q00000X Family Medicine (Licence: NM MD2015-0516) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2018-03-17 |