| NPI | 1700230745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A19003) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 306548) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2021-09-29 |