| NPI | 1205260114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A133206) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 76138) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2024-02-12 |