| NPI | 1043402712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD152535) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A101226) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2021-10-13 |