| NPI | 1801056569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 074932) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A102753) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2017-02-20 |