| NPI | 1871728691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 155250) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD446891) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2022-05-01 |