| NPI | 1457512428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C170164) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101255373) |
| 207Q00000X Family Medicine (Licence: GA 64063) | |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2022-05-03 |