| NPI | 1194110908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A20198) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP60831174) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2022-12-13 |