| NPI | 1922061183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A35561) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA a35561) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2022-02-27 |