| NPI | 1811378557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 19198) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 04959) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2024-11-06 |