| NPI | 1811375272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A15141) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA D5615712) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2021-12-17 |