| NPI | 1336501139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA c197439) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60870987) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-10-29 |