| NPI | 1093133506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 14393) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A14393) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2018-02-06 |