| NPI | 1063608743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A112811) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A12811) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2024-05-17 |