| NPI | 1477802148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C162616) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 63080-02) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2021-11-16 |