| NPI | 1255428306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A56152) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-1490) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2021-12-14 |