| NPI | 1447260666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD28573) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A83703) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2023-12-19 |