| NPI | 1710998810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A74602) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR 172071) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2019-09-04 |