| NPI | 1326347964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C198912) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME118785) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2025-03-03 |