| NPI | 1881039824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A15223) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 283139) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2021-12-17 |