| NPI | 1821264979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO186974) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A11283) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2022-11-02 |