| NPI | 1235199563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C54156) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID M6798) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2021-09-21 |