| NPI | 1063421592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C177130) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301080603) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-05-16 |