| NPI | 1528320942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A142517) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 252016) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2018-07-09 |