| NPI | 1922077437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS14611) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A9515) |
| 207Q00000X Family Medicine (Licence: GA 067099) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2019-10-31 |