| NPI | 1255320438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A83911) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: CA A839110) |
| 207Q00000X Family Medicine (Licence: CA A839110) | |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2021-10-15 |