| NPI | 1336118660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 4380) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A 061897) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2021-05-27 |