| NPI | 1508202821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A150203) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2015-02341) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2024-04-16 |