| NPI | 1376925727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A146797) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60837324) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2022-02-01 |