| NPI | 1285814939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A11721) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 485) |
| Enumeration Date | 2007-11-10 |
| Last Update Date | 2020-02-20 |