| NPI | 1245363969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A8982) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP00002173) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2016-06-09 |