| NPI | 1770613531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C55293) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 43462) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2021-04-19 |