| NPI | 1053525188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A110935) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301095861) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2021-11-29 |