| NPI | 1699953604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A102339) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A102339) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2020-12-09 |