| NPI | 1184112799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 81444-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A165671) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2023-04-24 |