| NPI | 1558702811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A156578) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML 60382470) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2021-12-03 |