| NPI | 1538131248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 7568) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 2OA7568) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2021-03-12 |