| NPI | 1831304880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 30551) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A93823) |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2025-12-08 |