| NPI | 1295791853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A43089) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A43089) |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2024-05-01 |