| NPI | 1003040775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A130410) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: MA 250597) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2023-04-30 |