| NPI | 1811099559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C174925) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301072057) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2023-01-06 |