| NPI | 1003015124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-14615) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A100346) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2023-10-12 |