| NPI | 1205862588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101256708) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A78229) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2023-12-15 |