| NPI | 1518904903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A66547) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD24124) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2021-11-05 |