| NPI | 1306259098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C184253) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 273348) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2023-07-03 |