| NPI | 1992019947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO151460) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A14141) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2025-01-06 |