| NPI | 1831354026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A18374) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SD 0530) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2020-08-22 |