| NPI | 1932196649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C159789) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MD19801) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2023-08-11 |