| NPI | 1033534672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60833434) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A140992) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2021-03-02 |