| NPI | 1841279635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C171560) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 38022) |
| 207Q00000X Family Medicine (Licence: WA MD60770051) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2021-06-17 |