| NPI | 1093974651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C162037) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME123086) |
| Enumeration Date | 2008-06-08 |
| Last Update Date | 2023-05-09 |