| NPI | 1245698299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A170968) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 424) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2024-04-17 |