| NPI | 1902288350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 55222) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 1902288350) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2024-10-15 |