| NPI | 1023050796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A10502) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP00002100) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2015-06-12 |