| NPI | 1407417736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A178502) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4351044605) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2024-12-06 |