| NPI | 1124349303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A12347) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA ot013394) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2020-07-30 |