| NPI | 1649424276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 53070) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A97639) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2021-12-03 |