| NPI | 1053974147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A19918) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101026336) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2022-07-27 |