| NPI | 1942644398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA 20A13811) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: CA 20A13811) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA 20A13811) | |
| Enumeration Date | 2013-04-27 |
| Last Update Date | 2016-08-09 |