| NPI | 1215162235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C174770) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD156627) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2023-10-24 |