| NPI | 1215211016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A137992) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR PG154826) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2022-02-01 |