| NPI | 1447647300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A178696) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60749512) |
| Enumeration Date | 2015-04-18 |
| Last Update Date | 2022-11-07 |