| NPI | 1558594796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A119577) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 43010094257) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2021-12-21 |