| NPI | 1780998021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A123145) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND RL11595) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2017-12-05 |