| NPI | 1578601357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G158880) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D57494) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2019-05-15 |