| NPI | 1669799979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C173938) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD162037) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2024-04-19 |