| NPI | 1063520609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD28016) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G76687) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-10-05 |