| NPI | 1841315389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A112856) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 53087-020) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2022-11-21 |