| NPI | 1831487883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A127639) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD452614) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2021-12-06 |