| NPI | 1184913824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 135603) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 063245) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2024-08-20 |