| NPI | 1699062216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A138159) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301099416) |
| Enumeration Date | 2011-07-03 |
| Last Update Date | 2024-05-04 |