| NPI | 1033179676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C53969) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 47830) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2024-03-29 |