| NPI | 1285016634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A144187) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60838789) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2021-04-16 |