| NPI | 1851406466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A96163) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 12467) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2021-12-09 |