| NPI | 1144956103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 1172370) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI 1172370) |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2022-08-01 |