| NPI | 1457455818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G58125) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G05812J) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2021-09-03 |