| NPI | 1194750992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 97771) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A77575) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2024-10-02 |