| NPI | 1518302785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A134653) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA A134653) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2024-08-02 |