| NPI | 1851559405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A136942) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 246128) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2021-12-16 |