| NPI | 1669672424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C138759) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 002486) |
| 207Q00000X Family Medicine (Licence: NC 2010-01401) | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2020-04-09 |