| NPI | 1205917887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A92765) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 25370) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2023-03-07 |