| NPI | 1871937219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A138241) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 52035) |
| Enumeration Date | 2013-04-27 |
| Last Update Date | 2021-07-27 |