| NPI | 1821351487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C172260) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 0438266) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2022-11-21 |