| NPI | 1750644670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID O-1874) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A16225) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2023-12-15 |