| NPI | 1851829642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A169405) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND RL14595) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2024-04-29 |