| NPI | 1679828438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C167604) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME EC121095) |
| 207Q00000X Family Medicine (Licence: OR MD171713) | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2020-12-11 |