| NPI | 1982858031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2020-04587) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A10233) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2022-01-19 |