| NPI | 1780697342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A54662) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA a054662) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2023-03-07 |