| NPI | 1245209071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G144357) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 35446) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2024-12-10 |