| NPI | 1871802959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60624063) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A113284) |
| 207QA0000X Family Medicine, Adolescent Medicine (Licence: WA MD60624063) | |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2021-04-01 |