| NPI | 1487816294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A18589) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2011013957) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2023-12-12 |