| NPI | 1659320307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C52074) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI 10241) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2024-11-04 |