| NPI | 1134152879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 18021) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A84448) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2023-12-20 |