| NPI | 1295901072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A11101) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID M-11600) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2019-04-17 |