| NPI | 1497017719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 17303) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A126673) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2022-07-21 |