| NPI | 1861448763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C144046) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI 11908) |
| 207Q00000X Family Medicine (Licence: MN 43596) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-10-06 |