| NPI | 1831362748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 001633) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C169085) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2022-03-17 |