| NPI | 1164910147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A174386) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA PTL-512) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2023-09-08 |