| NPI | 1497919161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD150229) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A104174) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2020-01-23 |