| NPI | 1003265745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A168887) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301109872) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2021-07-31 |