| NPI | 1336301019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 994188) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 003078) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2023-03-07 |