| NPI | 1043586027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 173520) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301100537) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2022-08-05 |