| NPI | 1497821318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G188438) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 29801) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2023-10-12 |