| NPI | 1326454463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A161821) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60813114) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2019-05-06 |