| NPI | 1679721609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A126601) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML60020183) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2014-11-26 |