| NPI | 1851686646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-18795) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A124314) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2021-05-19 |