| NPI | 1588760227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G73087) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: CA G73087) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: CA G73087) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2019-10-02 |