| NPI | 1578793261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C168139) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101251039) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2024-02-13 |