| NPI | 1285926816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA ML60571365) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A 116641) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2023-06-22 |